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The Medical Society of Papua New Guinea Public Private Partnership in Health Care 2009 MEDICAL SYMPOSIUM 1 www.mspng.org Public Private Partnership in Health Care THE MEDICAL SOCIETY OF PAPUA NEW GUINEA Takes this opportunity to sincerely thank The Pacific International Hospital, St. Mary’s Hospital, JTA International and UPNG School of Medicine and Health Science for Co-Hosting the 45th Annual Medical Symposium at the School of Medicine & Health Sciences,UPNG, Taurama Campus. August 30th – September 4th 2009 2009 MEDICAL SYMPOSIUM 2 www.mspng.org Public Private Partnership in Health Care 45th Annual Medical Symposium School of Medicine & Health Sciences, UPNG, Taurama Campus August 30th – September 4th 2009 2009 MEDICAL SYMPOSIUM 3 www.mspng.org Public Private Partnership in Health Care EDITORIAL TEAM Chief Editor Nakapi Tefuarani Editorial Committee Mathias Sapuri Sylvester Lahe Osborne Liko Frank Torova Pius Umo Nicholas Mann Publishing Arno Leka Rose Solien Photography Pedro Kamong Pradeep Ratnagiri Typeset Rose Solien Sylvester Lahe Printing Moore Printing Ltd Published by Medical Society of Papua New Guinea P.O. Box 6665 BOROKO National Capital District Papua New Guinea www.mspng.org [email protected] Copyright © 2009 – Medical Society of Papua New Guinea All rights reserved 2009 MEDICAL SYMPOSIUM 4 www.mspng.org Public Private Partnership in Health Care 2009 MEDICAL SYMPOSIUM ORGANISING COMMITTEE Frank Torova Nitin Datir Fred Kambual Amyna Sultan Vaishali Datir James Maibon Pius Umo Felicidad Cabrera Thomas Kubu Paul Mondia Kimberley Kawapuro Gladwin Mai Duncan Dobunaba Joycelyn Ila Ringko Sitaing Conny Caspar Bernadette Iamo Darius Deganu Onne Rageau Noella Desini Faisal Quareshi Pradeep Ratnagiri Hakim Ujainwalla Sanjay Aggarwal John Vince Philip Modudula 2009 MEDICAL SYMPOSIUM 5 www.mspng.org Public Private Partnership in Health Care CONTENTS Members of the 2009 Medical Symposium Organising Committee…………………………………………….. 5 Message from the Chairman Organising Committee……………………………………………………………………. 8 Message from the Convenors……………………………………………………………………………………………… ……… 10 Message from the President of the Medical Society of Papua New Guinea…………………………………… 12 Message from the Governor of the National Capital District………………………………………………………… 15 Message from the Patron of the 2009 Medical Symposium…………………………………………………………… 17 Message from the Secretary of Health………………………………………………………………………………………… 19 Message from the Editors…………………………………………………………………………………………………… ………… 21 Papua New Guinea Medical Journal Editorial Committee Members……………………………………………… 23 Program Highlights for the Symposium Week…………………………………………………………………………….. 25 Medical Society of Papua New Guinea 2009 National Executives………………………………………………… 27 Life Members of the Medical Society of Papua New Guinea…………………………………………………………. 29 Past Symposia of the Medical Society of Papua New Guinea………………………………………………………… 31 Members of the Medical Society of Papua New Guinea………………………………………………………………. 33 Scientific Program………………………………………………………………………………………………… …………………… 36 Symposium Abstracts………………………………………………………………………………………………… ……………….. 44 Poster Presentations…………………………………………………………………………………………… ……………………….. 83 Paediatrics Society Program ………………………………………………………………………………………………………… 84 Obstetrics and Gynaecology Society Program……….……………………………………………………………………… 85 2009 MEDICAL SYMPOSIUM 6 www.mspng.org Public Private Partnership in Health Care Surgery Society Program………………………….……………………………………………………………………… ………….. 86 Public Health Society Program….……………………………………………………………………………………………… … 87 ENT Society Program…………………..……………………………………………………………………………… ……………….. 87 Medical Imaging Society Program……………………………………………………………………………………………….. 88 Anaesthesiology Society Program……….……………………………………………………………………………………….. 89 Sexual Health Society Program……….………………………………………………………………………………………… …. 90 Emergency Medicine Society Program..……………………………………………………………………………………….. 92 Pathology Society Program………………………………………………………………………………………………… ……….. 92 Biomedical and Social Science Society Program…………………………………………………………………………. 93 Papua New Guinea Medical Board………………………………………………………………………………………………. 95 Obituary: Late Dr Morris Wainetti, OL and Late Dr Sir Jim Jacobi, OBE, KBE…………………………………. 96 Medical Symposium 2010 Venue………………………………………………………………………………………………… 97 Proud to Co-Host the 2009 Medical Symposium 2009 MEDICAL SYMPOSIUM 7 www.mspng.org Public Private Partnership in Health Care 2009 MEDICAL SYMPOSIUM 8 www.mspng.org Public Private Partnership in Health Care WELCOME MESSAGE FROM THE CHAIRMAN – ORGANISING COMMITTEE COLONEL (RETD) DR FRANK TOROVA, MBE MBBS, MMED (SURGERY) Greetings and welcome to you all to our nation’s capital, Port Moresby. The PNG Medical Society presents to you the 45th Annual Medical Symposium. The theme for this year is – “Public Private Partnership in Health Care”. It is an important topic and a first of its kind to be discussed in any symposium. The contrasting photograph on the cover of the Symposium Booklet illustrates the village setting in the foreground against the metropolitan city in the background. What it basically means is that the majority of villages can only access public health services and the cosmopolitan dwellers can afford private health care based on their economic status. At present there are those minority patients who are well off financially and can afford private health and the majority of patients from the urban and rural areas who can only access the run down aid posts, health centres and public hospitals. There is now a long waiting list for patients to see a doctor in any major hospital due to the lack of manpower resources (doctors and paramedical professions) equipment and drugs. In contrast, there are Private Hospital Institutions that the privileged few can access and afford at any time and there are no long waiting queues. The ideal scenario would be to have both the public and private health systems to come up with an affordable, easily accessible and working system to compliment each other in the delivery of health care to our people. It is hoped that this will be possible with the outcome resolutions at the end of the Symposium which the government and other stakeholders can adopt and implement in the delivery of healthcare. I welcome everyone, in particular our keynote speaker and guest speakers from overseas and PNG. You are here not only to impart and share knowledge and ideas with colleagues and fellow participants but also to learn about the cultures and traditions of the diverse ethnic groups in National Capital District. I caution you to be security conscious at all times while going about your business in the city. I would like to commend and thank the various sponsors for their kind and generous donations towards the successful staging of this year’s Symposium. To the members of the 2009 Symposium Organizing Committee, thank you for your tireless efforts and commitment in organizing this year’s symposium. I wish everyone a successful 45th Annual Medical Symposium Nabimui dae mu, Welkam, Welcome 2009 MEDICAL SYMPOSIUM 9 www.mspng.org Public Private Partnership in Health Care 2009 MEDICAL SYMPOSIUM 10 www.mspng.org Public Private Partnership in Health Care MESSAGE FROM THE CONVENORS DR PAUL MONDIA DR PIUS UMO MBBS, MMED (MEDICINE) MBBS, MMED (RADIOLOGY) CHAIRMAN SCIENTIFIC COMMITTEE DEPUTY CHAIRMAN SCIENTIFIC COMMITTEE Dear Participants, It gives us great pleasure in warmly welcoming you all to Port Moresby City, the nation’s capital and host to the 45th Annual Medical Symposium. We also specially welcome our overseas participants who are coming to Papua New Guinea for the first time. For our regular participants from overseas we thank you sincerely for your continuous support in making the medical symposium a truly international event. This symposium will feature for the first time concurrent scientific sessions and co-chairs on the second and third day of the main program. These concurrent sessions are to accommodate the increasing number of papers that have been submitted and secondly it will hopefully give participants the flexibility to sit in for sessions or papers of their interest. More than 100 abstracts were received from a wide range of would-be presenters from different medical and non-medical backgrounds. Eighty-five papers have been selected for oral presentation, five to respective specialist sessions and one for poster presentation. The papers to be presented cover a wide range of issues related to the theme of this symposium. The symposium continues to be the main avenue in which young potential researchers, undergraduate and post-graduate medical and paramedical students present their research work. The society through the annual symposia will continue to encourage training of our future professionals to their fullest potential. The opportunity has been given to Govnermenet Representatives, private sector respresentatives, NGOs and other international experts to present their plans in line with the theme. The ultimate success of this year’s theme will be measured by the quality of papers presented, recommendations suggested for possible implementation. Finally we take this opportunity on behalf of the Organizing Committee and Scientific Committee to wish you well in your stay in the nation’s capital. ‘LET US ALL JOIN HANDS IN PARTNERSHIP TO DELIVER HEALTH CARE IN PAPUA NEW GUINEA’ 2009 MEDICAL SYMPOSIUM 11 www.mspng.org Public Private Partnership in Health Care 2009 MEDICAL SYMPOSIUM 12 www.mspng.org Public Private Partnership in Health Care THE PRESIDENT OF THE MEDICAL SOCIETY OF PAPUA NEW
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